Reproductive Age

Cyst Morphology

Postmenopausal

• <3cm, Optional to mention. No follow up.
• 3-5cm, Mention in report. No follow up
• 5-6cm, Yearly followup
• >7cm, Surgical referral

Simple Cysts

• 1-7cm, yearly followup
• >7cm, surgical referral

• <5cm, No follow up
• >5cm 6-12 week follow up to ensure resolution

Hemorrhagic Cysts

• Early post-menopausal, 6-12 week follow up to ensure resolution
• Late post-menopausal, consider surgical referral

• Initial follow up at 6-12 weeks
• Yearly follow up unless removed

Endometrioma

• Initial follow up at 6-12 weeks
• Yearly follow up unless removed

• Follow yearly if not removed

Dermoid

• Follow yearly if not removed

Indeterminate but likely benign cysts

• Follow up at 6-12 weeks.
• If not resolved continue to follow with US or MRI.
• If benign lesion not confirmed by additional imaging then surgical referral.

• Follow up at 6-12 weeks.
• If not resolved continue to follow with US or MRI.
• If benign lesion not confirmed by additional imaging then surgical referral.

• Likely a benign neoplasm. Consider surgical referral.

• Likely a benign neoplasm. Consider surgical referral.

• Likely a benign neoplasm. Consider surgical referral.

• Likely a benign neoplasm. Consider surgical referral.

Cysts with worrisome characteristics

• Surgical referral.

• Surgical referral.